Liver Cirrhosis - 10 Nursing Diagnosis

The liver is the largest organ in the human body. Important processes occur in our lives, which is a process of energy storage, regulation of cholesterol metabolism, and neutralizing toxins / drugs that enter our bodies, so we can imagine the consequences that would arise if there is damage to the liver.

Liver Cirrhosis is a pathological condition that describes end-stage hepatic fibrosis that goes progressively characterized by distortion of the hepatic architecture and the formation of regenerative nodules (Sudoyo Aru, et al 2009)

Causes of cirrhosis include:

• Malnutrition
• Alcohol
• Hepatic virus
• Hemochromatosis (iron overload)
• Toxic substances

Clinical Manifestations of Liver Cirrhosis

• Enlarged liver
• Gastric varices
• Edema
• Obstruction portal and ascites
• Vitamin deficiency and anemia
• Mental Decline
• Nausea, vomiting, anorexia and weight loss
• Diarrhea
• Muscle weakness and feeling tired

Diagnostic Tests

• Imaging exams: ultrasound liver, gall bladder, and spleen. Liver ultrasound can describe how far the damage.
• Pathological examination: Pathological examination for signs of viral hepatitis.
• Liver function tests: The liver function tests, we can understand how much the severity of liver cirrhosis.
• Four indicators of hepatic fibrosis: liver fibrosis is a chronic disease. Early detection using four indicators of hepatic fibrosis, may help diagnose more quickly whether there is liver fibrosis.
• Liver biopsy: A biopsy can indicate the presence or absence of cirrhosis of the liver.
• Laparoscopy: direct examination that can be done in the liver, spleen, digestive organs.

Nursing Diagnosis

1. Excess fluid volume
2. Ineffective breathing pattern
3. Impaired gas exchange
4. Pain (acute / chronic)
5. Impaired physical mobility
6. Disturbed Body Image
7. Risk for infection
8. Impaired skin integrity
9. Low Self-Esteem

Source : http://nandanursingdiagnosis.blogspot.co.id/2013/01/10-nursing-diagnosis-for-liver-disease.html

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